“…3 | TREACHER COLLINS SYNDROME Treacher Collins syndrome (TCS) presents with a wide spectrum of craniofacial defects, often including CA (Andrade et al, 2005;Horiuchi et al, 2004;Trainor, 2010). Mutations in TCOF1, POLR1C and POLR1D are responsible for causing TCS, and all three genes play roles in ribosomal RNA production and subsequently ribosome biogenesis (Terrazas, Dixon, Trainor, & Dixon, 2017;Valdez, Henning, So, Dixon, & Dixon, 2004). The fact that other similar disorders caused by gene mutations that also affect ribosome biogenesis, such as Diamond-Blackfan anemia (Handler, Alabi, & Miller, 2009) or Acrofacial dysotosis (Weaver et al, 2015) can also present with CA suggests that the process of ribosomal biogenesis is critical in the progenitor cells of craniofacial tissues for connecting the nasal airway to the nasopharynx.…”